EYE RESTORATION CLINIC INC.; NPI #1174668693

Contact Information

EYE RESTORATION CLINIC INC.

9450 PENNSYLVANIA AVE
SUITE #15
UPPER MARLBORO, MD 20772-3665

Phone: 301-599-6300
Fax: 301-599-0578
Website:

Specialty	Taxonomy Code	Specialty Code	Provider Type
Customized Equipment	332BC3200X	87	All Other Suppliers
Ocularist	156FX1700X

Indicates primary specialty

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NPI Profile & details for EYE RESTORATION CLINIC INC.

NPI # 1174668693

LBN Legal business name EYE RESTORATION CLINIC INC.

Authorized official THOMAS MEAKEM - (OWNER)

Entity Organization

Organization subpart ¹ No

Enumeration date 02/21/2007

Last updated 03/21/2012 - About 14 years ago

Identifiers

MD	License #	3853
DC	Medicaid	023053600
MD	Medicaid	468228900
DC	Other	406540466	MEDICARE RR
MD	Other	30877	KAISER PERMANANTE

¹ Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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EYE RESTORATION CLINIC INC.

Contact Information

Specialty

Customized Equipment

Ocularist

NPI Profile & details for EYE RESTORATION CLINIC INC.

Reviews for EYE RESTORATION CLINIC INC.